Volunteer Application

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Name
Languages (Fluent)
Do you give us permission to do a criminal history and sexual offender background check?
Please indicate which WellSpring experience you would like to share:
What days and times are available to volunteer?
WellSpring is available to all, without regard to race, color, national origin, disability, gender identity, military status, political affiliation or relation.
Are you currently being treated for any medical condition of which WellSpring should be aware?
Are you currently taking and medications which WellSpring should be aware?

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